stcommodore

I misread your thread I thought you ment pennsylvania ems jobs, oops.

Sometimes doing "nothing" is doing enough/everything. As a student and your first year of street medicine you'll likley over treat everyone untill the point where you develope critical thinking and confidence in your practice.

Find a real posistion...plenty of jobs in the southeast you can make 40-80k a year at.

Your having a decent day when you remebered to put the security on in your truck so when someone tried to steal it in the hood they got nowhere fast.

Is there sone type of contract giving PFD coverage for PHL? Because PHL has land outside of the city I'd asume something like that is in place.

Phila international airport has one dedicated medic unit (medic 30) that does about 1,500 runs a year. Terminal E is on the far north end of the airport at the furthest point from the escorted/secure entry point. PIA is at the furthest southwest point in phila as well. There are alot of unanswered questions here, and thus not enough info for any real answers. Within 15-20min of the airport are M19,M3,M37,M11,M23,M43,M14...not that only a bad night everyone could be out on calls but being in the system I havent heard anything of thia incident unless its rather old and just making the news.

Hells bells thats kinda sad to hear.

Hey, I'm trying to get my service to replace morphine with fentanyl. We won't carry both and I feel fentanyl is superior. I need to know how much each costs and make this a dollar and cents argument.

Using the statpack BBP reaistant bag

Top pouch:4x4, kling wrap, MAT tournequet

Pen light, samm splint

Narcs&syringe, 1in 2in tape

Front small section:airway roll

Front large section:

Adult bvm, peds bvm

Large and reg bp cuff

2 50mg benadryl

1 30ml 1,1000 epi

4 narcan

4 lasix

2 D50

1 bicarb

In seperate pouch-3 epi,3atrop,3lido,3 6mg adenosine

Glucometer&glucagon

Side 1:nrb, nc,neb,neb mask, albuterol, small sharps, lg abd pad

Side 2:iv kit, calcium,d25,mag sulfate,asa,nitro

Ya'll obviously work in a system where family have cars. In my world if you tell family no then the patient will have no one until that mambers finds a bus or walks. I've had little to no issue having one family member sit in the captians chair, or if the patient is unstable they ride in the cab.

What pray tell does your policy say of the sick mother with nobody to watch her three kids? Who cares if this aid is lying or not.

I wish I worked someone I could worry about taking my shoes off or "out of station" time. I live in my truck.

That last post is false. I have a perminate partner and unless staffing requires us to be split up (2-3 shifts a month of approx 18). I work dual medic. We are offered overtime ahead of FFs and if you don't have a partner you often times get an OT medic. FSP class 26, 27&28 took place within the last 2-4yrs and hired 25-30 medics most young and very motivated ones. There are stong rumors of more hiring classes in 2011.

Thanks for giving them the other point of view.

Philly has the LP15, but its not always equipment that matters. Its plenty of young quality medics and ems leadership that wants to grow.

Come to medic school here...crozer/delco, jefferson, star plenty of places!

First off I have to stand up for philadelphia...the biggest game in southeast pennsylvania. 35 paramedic units, dual staffed with paramedics. Where else near by can you have a steady paramedic partner? What system near by has brand new stryker strerchers, toughbook and drs computers, avl/gps dispatch? Starting pay around 35k up to 65k without overtime. Healthcare,pension,etc.

You have to be hired as a paramedic, and there are strong rumors of a new hiring of paramedics comming.

Expect Emt-B jobs to pay $10-20 depends on the squad in the counties and avoid privates unless its a corp company.

Dose were allowed is 0.05 mg/kg every 5min to max of 0.1 mg/kg. So we might max at 10mg on a 100kg patient right? On some cases police or fire help and are on scene but I also have to transport and give the hospital these patients. So if fighting in the back and a maniac at the ED can be avoided I'd try to do so.

He flipped his car on a road ballard, wasn't entrapped or physically hurt but wouldnt come out. I fought against tasing him, ended up using police muscle to get him onto the board and into the truck. Tried the versed in the car to calm the beast, and again in the truck w little luck.

So on several occasions I have a combative patients that require chemical sedation. Our protocol says that patients that "struggle against" hard restraints should be sedated. Now my only option sometimes is to sedate to restrain, or restrain, sedate and wait. I personally feel when your fighting a 200lb drunk who barricaded himself in his car waiting 15-30min for IM versed to work sucks. I guess the only option is to give up IM/IN and fight for the IV? I don't lightly throw narcs at people but I don't fight them either.

To expand on the topic, "Abdominal Pain" 35 years or older is an ALS dispatch. Now I haven't met many abdominal pains I work up, but I guess its because over the phone abdominal pain can be vauge and acutally be so much more. Would you be ok with "general weakness" being a BLS dispatch? In my urban system I sure am.

I would say set specific standards as to what you want to see from them. Set target completion times, and be open and honest with them at all times. Let them know that you won't broadcast there struggles across the department, but broadcast there sucess.

So in my system we don't have the units to or practice "dual dispatch." We have about 15 BLS and 35 ALS units and the dispatch protocol goes like this. ALS Dispatches will go to an ALS unit if one is within 2 miles, if not it goes to closest unit. BLS dispatches will go to BLS units within 5mi of a call, if no bls then closest. Trauma runs...closest. Code Blue...Closest and ALS if one is within 2 miles.

Now the topic at hand. Our dispatch protocol states a "ONE seizure, with history of and patient is breathing normally" is a BLS call.

Thoughts? Comments?

You really have to operate off your protocol. If you give 3 liters in a trauma or code how many is actually used? 3:1 anyone?

From Philly to NYC your in our prayers

Long term transports are a different story, airplane rides even different. But around here if necessary hard restraints or chemmical. I've used both and do so liberally cause I intubate better then I fight.

Age limits dont stand up in court do it.